Glen C Pettersen in Clearwater - Chiropractor
Glen C Pettersen - NPI 1386865319
Glen C Pettersen is a Chiropractor in Clearwater, Florida. Glen C Pettersen practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Glen C Pettersen is 1386865319. The last update date is 2021-04-05.
Glen C Pettersen's current location address is 2451 N Mcmullen Booth Rd Ste 312b, Clearwater, Florida. You can contact this provider via phone number 7272604366 and fax number 7272223838. The mailing address for Glen C Pettersen is 2451 N Mcmullen Booth Rd Ste 312b, Clearwater, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen C Pettersen |
|---|---|
| Address | 2451 N Mcmullen Booth Rd Ste 312b, Clearwater, Florida |
| Phone Number | 7272604366 |
| Fax Number | 7272223838 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1386865319 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2021-04-05 |
Provider Mailing Address Detail
| Address | 2451 N Mcmullen Booth Rd Ste 312b |
|---|---|
| City | Clearwater |
| State | Florida (FL) |
| Post Code | 337591342 |
| Phone Number | 7272604366 |
| Fax Number | 7272223838 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH8923 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the Glen C Pettersen's 1386865319?
The Glen C Pettersen's NPI (National Provider Identifier) Number is 1386865319. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Glen C Pettersen located?
The Glen C Pettersen is located at 2451 N Mcmullen Booth Rd Ste 312B, Clearwater, FL 337591342.
What is Glen C Pettersen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Glen C Pettersen is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
When was the Glen C Pettersen's 1386865319 issued?
The Glen C Pettersen's 1386865319 was issued on 2007-05-01.
As of what date was the information pertaining to Glen C Pettersen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Glen C Pettersen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-04-05.